Job title: Risk Adjustment Coder Duration: 6 Months (Temp to Perm) Remote, EST or CST time zone Shift:7-3:30pm EST we have flexible starting times. Must have: Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Tenth Revision (ICD-10). Always coding to the highest level of specificity. Follows the Official ICD-10 guidelines for Coding and Reporting and has a complete understanding of these guidelines. Ability to meet productivity and accuracy standards Job summary: Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Tenth Revision (ICD-10). Always coding to the highest level of specificity. Code in multiple lines of business such as Marketplace (ACA) and Medicare Advantage Follows the Official ICD-10 guidelines for Coding and Reporting and has a complete understanding of these guidelines. Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines. Understands the impact of ICD-10 codes on the CMS HCC risk adjustment model. Ability to meet productivity and accuracy standards Ability to defend coding decisions to both internal and external audits. Performs other duties as assigned. Work environment is positive and engaging. Day to Day Responsibilities: Coders will work daily reviewing medical records abstracting HCCs for members. Coders will also work on additional special projects as needed dependent on business needs. 100% Remote Accuracy: 95% Production: 7-9 HCC’s an hour Education/Certification: Required: CPC or CCS Preferred: CRC Years of experience required: 2 years of medical coding experience risk adjustment knowledge is preferred
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